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Deactivated NPI 1073672507 Deactivated / Inactive NPI Male Practitioner

Edward Samuel Wilcox , PHARMACIST

Pharmacist • Republic, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Wilcox has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2006
NPI Deactivation Date July 17, 2007
Total Practice Duration ~1 Years of Practice (2006 – 2007)

Professional Overview & Biography Verified Profile Summary

Edward Wilcox, PHARMACIST was a registered Pharmacist practicing in Republic, PA. Throughout an active medical career spanning 1 years, Edward Wilcox provided care at the practice location at 1009 MAIN ST until profile deactivation on 2007-07-17.

Practice Location & Contact Primary Location

Practice Address

1009 Main St

Republic, PA 15475

Telephone 7242468800
Associated Practice Facility / Clinic
🏢 Edward S. Wilcox Facility NPI 1073678850

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Republic, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Republic, PA (13353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License PA RP028247L

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Bryan Ferro

Pharmacist

NPI 1477809739

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 23, 2022

Record deactivated on May 23, 2022

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NPI Profile Reactivated August 02, 2007

Record officially reactivated for active practice on August 02, 2007

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Updated Practice Location August 02, 2007

Registered at 1009 MAIN ST, REPUBLIC, PA 15475 (Tel: 7242468800)

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Updated Business Mailing Address August 02, 2007

Registered at 1009 MAIN STREET, REDSTONE PHARMACY, REPUBLIC, PA 15475 (Tel: 7242468800)

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Provider Name / Credentials Updated August 02, 2007

Recorded as EDWARD WILCOX, PHARMACIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2007

Pharmacist (License #RP028247L in PA)

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NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

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Initial NPI Registration & Enumeration December 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073672507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2006
Last Update: August 02, 2007
Deactivation Date: July 17, 2007

Mailing Address

1009 Main Street, Redstone Pharmacy

Republic, PA 15475

Phone: 7242468800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.